TY - JOUR
T1 - The effect of dual-task conditions on gait and balance performance in children with cerebral palsy
T2 - A systematic review and meta-analysis of observational studies
AU - Roostaei, Meysam
AU - Raji, Parvin
AU - Morone, Giovanni
AU - Razi, Bahman
AU - Khademi-Kalantari, Khosro
N1 - Publisher Copyright:
© 2020
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/4
Y1 - 2021/4
N2 - Dual-task conditions are commonly experienced in daily routines. The aim of the present systematic review is to investigate the effect of dual-task conditions on gait and balance performance in children with cerebral palsy (CP) and to perform meta-analyses where applicable. Five databases, “ProQuest”, “PubMed”, “OTSeeker”, “Scopus”, and “PEDro” from the incipient date of databases up to Aug 24, 2020 were searched for studies focusing on the effects of dual-task conditions on gait and balance performance in children with CP. After removing irrelevant articles and applying inclusion and exclusion criteria, nine articles were included in the present systematic review and meta-analysis. The results of the meta-analysis showed that walking speed was slower during dual-task conditions compared to single-task conditions in children with CP (WMD = −0.29 m/s, 95% CI = −0.34, −0.24, P ≤ 0.001) and walking speed decreased in children with CP during dual-task conditions in comparison with the typical development (TD) control group (WMD = −0.19 m/s, 95% CI = −0.23 to −0.15, P ≤ 0.001). The results of subgroup analysis based on the type of task indicated that adding concurrent tasks to walking degrades walking speed under varied dual-task conditions. Additionally, theoretical synthesis of the literature demonstrated that other gait and balance variables are changed by performing cognitive and motor secondary tasks differently. Although these changes may be compensatory strategies to retain their stability, there was not sufficient evidence to reach a firm conclusion. Research gaps and recommendations for future studies are discussed.
AB - Dual-task conditions are commonly experienced in daily routines. The aim of the present systematic review is to investigate the effect of dual-task conditions on gait and balance performance in children with cerebral palsy (CP) and to perform meta-analyses where applicable. Five databases, “ProQuest”, “PubMed”, “OTSeeker”, “Scopus”, and “PEDro” from the incipient date of databases up to Aug 24, 2020 were searched for studies focusing on the effects of dual-task conditions on gait and balance performance in children with CP. After removing irrelevant articles and applying inclusion and exclusion criteria, nine articles were included in the present systematic review and meta-analysis. The results of the meta-analysis showed that walking speed was slower during dual-task conditions compared to single-task conditions in children with CP (WMD = −0.29 m/s, 95% CI = −0.34, −0.24, P ≤ 0.001) and walking speed decreased in children with CP during dual-task conditions in comparison with the typical development (TD) control group (WMD = −0.19 m/s, 95% CI = −0.23 to −0.15, P ≤ 0.001). The results of subgroup analysis based on the type of task indicated that adding concurrent tasks to walking degrades walking speed under varied dual-task conditions. Additionally, theoretical synthesis of the literature demonstrated that other gait and balance variables are changed by performing cognitive and motor secondary tasks differently. Although these changes may be compensatory strategies to retain their stability, there was not sufficient evidence to reach a firm conclusion. Research gaps and recommendations for future studies are discussed.
KW - Cerebral palsy
KW - Dual tasks
KW - Gait
KW - Postural balance
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U2 - 10.1016/j.jbmt.2020.12.011
DO - 10.1016/j.jbmt.2020.12.011
M3 - Review article
AN - SCOPUS:85100603205
VL - 26
SP - 448
EP - 462
JO - Journal of Bodywork and Movement Therapies
JF - Journal of Bodywork and Movement Therapies
SN - 1360-8592
ER -